Team Lead, Enterprise RCM Operations

Key Responsibilities:

• Develop and maintain expert-level knowledge of client workflows, payer behavior, and operational processes.
• Partner with Client Success Managers to support client health, escalations, and performance initiatives.
• Conduct detailed root cause analysis of denied claims, rejected claims, and payment variances across systems.

Team Leadership & Operational Management:

• Assign and prioritize weekly workloads based on enterprise client needs and claim volumes.
• Oversee daily operational performance across AR, Billing, and Payment Posting functions.
• Utilize dashboards and productivity metrics to validate work quality and ensure task completion.

Training, Coaching & Team Development:

• Facilitate onboarding and ongoing training for team members on workflows and payer requirements.
• Provide hands-on coaching on claim preparation, denial resolution, and AR follow-up.
• Conduct regular 1:1 meetings and development discussions to foster growth and accountability.

Reporting, Analytics & Strategic Support:

• Generate monthly reports on AR performance, denial trends, and operational KPIs.
• Leverage AR Aging Reports and dashboards to guide operational oversight.
• Research and recommend workflow enhancements and operational improvements for leadership review.